Individual
DR. JEFFREY M ROSENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 CITRACADO PKWY, SUITE 301, ESCONDIDO, CA 92029-4110
(619) 884-9222
(760) 738-6439
Mailing address
2493 RUSSETT GLEN, ESCONDIDO, CA 92029
(760) 738-1715
(760) 738-6439
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G53269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G532690
—
CA
01
—
CB212464
MEDICARE PTAN # CB212464
—
Enumeration date
02/08/2006
Last updated
04/15/2015
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